外围性子宫内膜异位症的CT表现及其病理学基础  

CT Features and Its Pathologic Fundaments in External Endometriosis

作　　者：江魁明[1] 董天发[1] 李志钊[1] 

机构地区：[1]广州医学院附属市二人民医院CT/MR室,510150

出　　处：《临床放射学杂志》2004年第12期1062-1065,共4页Journal of Clinical Radiology

摘　　要：目的　探讨外围性子宫内膜异位症 (EEM)的CT表现及其病理基础 ,评价CT对EEM的诊断能力。资料与方法　回顾分析 2 4例EEM临床、CT和术后病理资料 ,全组病例均行平扫及增强扫描。结果　 2 4例EEM ,共发现病灶 5 1个 ,其中实块型 3个 ,囊实混合型 4个 ,囊肿型 4 4个。实块型EEMCT表现为软组织肿块 ,其病理为大量增生的纤维组织夹杂微量的子宫内膜细胞、含铁血黄素和少量淋巴细胞、浆细胞 ;囊肿型EEM囊壁厚、毛糙 ,与周围结构粘连 ,囊液呈高密度或高低混杂密度 ,囊液分层征。囊壁病理为纤维组织 ,内衬子宫内膜组织 ,囊液为新旧不一的异位内膜经血 ;囊实混合型具有囊肿型和实块型CT表现及病理基础。结论　囊肿型、囊实混合型EEMCT表现具有特异性 ,实块型CT表现缺乏特异性 ,但结合与经期相关的临床表现 。Objective To discuss the relationship of CT findings and histopathology in the patients with external endometriosis (EEM), and to evaluate the value of CT in diagnosis of EEM.Materials and Methods The data of clinical, CT and histopathology in 24 patients with EEM were reviewed retrospectively. All cases were examed before and after enhancement.Results 51 lesions were found in 24 cases with EEM, which included solid type in 3, mixed cystic and solid type in 4 and cystic type in 44. The solid type was sho...

关 键 词：子宫内膜异位症 病理 体层摄影术 X线计算机 

分 类 号：R816.91[医药卫生—放射医学]